| NPI | 1124398417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN IRENE MAKAROWSKI Secretary 850-477-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY2429) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |